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喀麦隆雅温得儿童弯曲杆菌肠炎的患病率

Prevalence of Campylobacter enteritis in children from Yaounde (Cameroon).

作者信息

Koulla-Shiro S, Loe C, Ekoe T

机构信息

Department of Parasitology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences (FMSB) University of Yaounde (UYI) Cameroon.

出版信息

Cent Afr J Med. 1995 Mar;41(3):91-4.

PMID:7788677
Abstract

A cross sectional study on the prevalence of Campylobacter jejuni/coli and its possible aetiologic role in childhood diarrhoea in Yaounde was undertaken in 272 children presenting with diarrhoea and 157 age matched controls from April 1989 to October 1990. Stool cultures were performed according to standard techniques for Campylobacter jejuni/coli shigella and salmonella species. Rotavirus was detected using a latex agglutination test. Campylobacter jejuni/coli was isolated from 21 (7,7 pc) of 272 patients with diarrhoea and five of 157 (3,2 pc) controls (p > 0.05), all aged zero to four years old. Shigella and salmonella species were cultured from 2,2 pc and 1,1 pc of 272 patients respectively while rotavirus antigen was detected in 19,6 pc of 204 patients. Twenty eight pc of children with Campylobacter enteritis were exposed to chickens while 23,8 regularly drank water from streams which probably were contaminated. Our results indicate a high prevalence of campylobacter enteritis in children living in Yaounde and also suggest that a high rate of carriage of Campylobacter jejuni/coli could exist in children zero to four years without diarrhoeal illness. to four years without diarrhoeal illness.

摘要

1989年4月至1990年10月,对雅温得272名腹泻儿童和157名年龄匹配的对照儿童进行了一项关于空肠弯曲菌/结肠弯曲菌流行率及其在儿童腹泻中可能病因作用的横断面研究。根据检测空肠弯曲菌/结肠弯曲菌、志贺氏菌和沙门氏菌属的标准技术进行粪便培养。使用乳胶凝集试验检测轮状病毒。在272名腹泻患者中有21名(7.7%)分离出空肠弯曲菌/结肠弯曲菌,157名对照中有5名(3.2%)分离出该菌(p>0.05),所有患者年龄均在0至4岁。272名患者中分别有2.2%和1.1%培养出志贺氏菌和沙门氏菌属,而在204名患者中有19.6%检测到轮状病毒抗原。28%的弯曲菌肠炎患儿接触过鸡,23.8%的患儿经常饮用可能被污染的溪水。我们的结果表明,生活在雅温得的儿童中弯曲菌肠炎患病率很高,也表明0至4岁无腹泻疾病的儿童中可能存在较高的空肠弯曲菌/结肠弯曲菌携带率。

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